A QUALITATIVE EVALUATION OF RISE FROM THE PERSPECTIVE OF ADULT PROTECTIVE SERVICES CASEWORKERS

Abstract Our understanding of effective elder abuse and self-neglect (EASN) response interventions is limited. Adult Protective Services (APS), the primary agency responsible for responding to EASN, lacks a coherent, conceptually driven, prolonged intervention phase. Informed by ecological-systems, client-centered, and relational perspectives and adapting evidence-based modalities from other fields, the RISE intervention addresses this systems gap and compliments and augments APS services. Based on a three-year pilot project involving a partnership between RISE and Maine APS, the current study conducted a qualitative evaluation of RISE, from the perspective of APS caseworkers (n=14) who worked with RISE. The purpose of this evaluation was to understand RISE strengths, areas for improvement, and qualities of the RISE/APS partnership. Findings suggest APS workers perceive that RISE benefits clients, complements the scope and nature of APS, enhances APS caseworker well-being, and reduces repeat APS cases. Further APS/RISE collaboration and clarification on RISE role responsibilities and referral eligibilities represent areas of growth. This study provides preliminary evidence for RISE as a community-based EASN intervention in partnership with APS

States, 2. University of Toronto,Toronto,Ontario,Canada,3. University of Southern California,Los Angeles,California,United States,4. Department of Health and Human Services,Augusta,Maine,United States,5. Elder Abuse Institute of Maine,Brunswick,Maine,United States,6. City University of New York,New York City,New York,United States Adult Protective Services (APS) is the primary agency responsible for investigating Elder Abuse and Self-Neglect (EASN) allegations in the US.The harms of EASN are well established; however, APS lacks a conceptually derived, evidenced-based intervention phase.RISE is a communitybased EASN intervention designed to complement and augment APS that provides enhanced services and a longer intervention phase.The objective of this study was to test whether exposure to the APS/RISE collaboration reduced the case outcome of recurrence (repeat investigations) compared to usual APS only services.This study was based on a retrospective observational design (n = 1947)  Criminal justice system interventions are a common response to elder abuse, neglect and exploitation (EA), but there is severely limited understanding of their efficacy in reducing EA or improving the well-being of older adults.A goal attainment scaling feasibility study revealed that APS clients' goals often included getting help (like substance use or mental health treatment) for someone else, often family members harming them.Some APS and RISE clients reported reluctance to seek help or report harm, fearing that involvement of the criminal justice system might result in them losing control over their lives, losing a caregiver, being forced into a facility, or legal punishment of someone they care about.Given these findings, the RISE team engaged in a lengthy outreach and planning phase with state and local prosecutors, elder victim service providers, restorative justice experts, and researchers, to design a novel intervention, using RISE in conjunction with drug court, to divert cases involving substance using defendants alleged to have mistreated an older person.This session will describe the extensive planning and design process and provide a case study analysis, which suggests that a combination of drug court's in-patient treatment for the defendant, services for the victim, and RISE's focus on restorative justice approaches that repair breached relationships reduced harm and benefited the older person, the defendant, and their families.Implementation of RISE in partnership with the criminal justice system carries important implications for the integration of restorative justice practices in some EA cases.

SUCCESSFUL AGING AND THE GOOD LIFE
Abstract citation ID: igad104.1158

"DO IT ANYWAY"-RESIDENT-DRIVEN ENGAGEMENT TO MAINTAIN MEANINGFUL LIFE IN CONTINUING-CARE RETIREMENT COMMUNITIES Xiaoli Li, Southern Illinois University, Carbondale, Illinois, United States
As the aging population continues to grow, the demand for Continuing Care Retirement Communities (CCRCs) is increasing.However, residents in CCRCs often face social isolation and loneliness, which can negatively impact their health and well-being.To combat these issues, activities and engagement have been proposed as potential solutions.However, the voices of those vulnerable to social isolation are seldom heard.This study aimed to explore the perspective of residents on how resident-driven engagement in CCRCs may maintain a meaningful life.A qualitative research approach was used, consisting of semi-structured interviews with 26 residents in CCRC.Thematic analysis identified five key themes related to resident-driven engagement: a sense of community, turning lemons into lemonade, doing it anyway, pink letters, and committees and clubs.The "do it anyway" attitude emerged as a prevalent theme, emphasizing the importance of pushing past challenges and limitations to pursue activities that bring joy and meaning to residents' lives.The findings suggest that resident-driven engagement can lead to a sense of purpose, belonging, and fulfillment in CCRCs.The research provides insights into how communities can foster an environment that supports such engagement.By prioritizing resident-driven activities and empowering residents to take control of their lives, CCRCs can promote the well-being and quality of life of their residents.

NEIGHBORHOOD CONTEXT AND QUALITY OF LIFE OF OLDER ADULTS IN EASTERN NEPAL: A CROSS-SECTIONAL STUDY
Krishna Sapkota 1 , Saruna Ghimire 2 , and Aman Shrestha 2 , 1. Miami University, Oxford, Ohio, Oxford, Ohio, United States, 2. Miami University, Oxford, Ohio, United States Introduction: Increased life expectancy has resulted in population aging and subsequently entails addressing the needs of older adults.Shifting family structures from multigenerational to nuclear have had a significant effect on the older adults' livelihood and their ways of interaction with community members.This research aims to comprehend the relationship between neighborhood context and older adults' quality of life (QoL) in Nepal.
Methods: A total of 847 non-institutionalized older adults (≥60 years) from eastern Nepal were interviewed in 2021.The QoL was measured by13-item version of the Older People's Quality of Life questionnaire (OPQOL-brief), and each item was measured on a 5-point Likert scale.The OPQoL mean score < 3 was recoded as low, and ≥3 was high QoL.Ethnic diversity, monthly income, connection with family, friends, and neighbors, cultural connection, residential instability, and accessibility were measured to see the effect of neighborhood context.

SUCCESSFUL AGING AMONG OLDER PERSONS IN VIET NAM
Yasuhiko Saito 1 , Nguyen Vu 2 , and Linh Dang 2 , 1. Nihon University, Tokyo,Japan,2. Institute of Population,Health and Development,Hanoi,Ha Noi,Viet nam The present study aims to explore the prevalence and correlates of successful ageing among Vietnamese older persons.Data used for this study is from the baseline survey of the Longitudinal Study of Ageing and Health in Viet Nam (LSAHV).LSAHV is a nationally representative survey of older persons aged 60 and above in 2018-19 with 6,050 respondents.Face-to-face interviews were conducted using structured questionnaires and tablets.Rowe and Kahn's definition was used to study successful ageing among older persons in Viet Nam.Study sample size was 4,370 older persons.Logistic regression was employed to examine the association of sociodemographic and lifestyle factors with successful aging among older persons.The prevalence of Vietnamese older persons meeting criteria of successful ageing was 16.2% at the time of baseline survey.The percentage of older persons reporting no major diseases, no disability, high cognitive function, high physical function, and engagement with life was 35.0%, 88.5%, 55.1%, 77.9%, and 79.7%, respectively.Logistic regression analysis showed that older persons who were younger, male, having higher education level, and often doing physical exercise were likely to be successful

USING RISE IN CASES DIVERTING DEFENDANTS IN ELDER ABUSE SCENARIOS OUT OF THE CRIMINAL SYSTEM AND INTO TREATMENT M.T. Connolly 1 , Page Ulrey 2 , Patricia Kimball 3 , Geoff Rogers 4 , Stuart Lewis 5 , and David Burnes 6 , 1.
in two randomly selected counties of Maine where RISE was available to provide enhanced services to persons referred from APS. Analysis used an extended regression endogenous treatment Probit model using APS administrative data to predict case recurrence.Between 2019 and 2021, 154 cases participated in RISE and 1793 received usual APS only services.49% of cases referred to RISE had a complex history with 2 or more prior substantiated allegations versus 6% for those receiving usual APS only services.After accounting for the non-random treatment assignment, RISE significantly lowered the likeli- In this study, neighborhood context was a determinant of better QoL in older adults.Therefore, engagement in income generation activities, and strengthening families and neighborhood ties bring good QoL among older adults.